SIAV Board member and invited speaker registration

Surname  *
Name  *
Affiliation
Address 
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City 
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Phone
+39
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    E-mail *
    Social Insurance Number (Codice fiscale)
    VAT Number (Partita IVA)


    Declaration (Autocertificazione)
    Medical Doctor
    Veterinarian


    Only for Italians (Solo per italiani)

    PEC (obbligatoria se non si ha il codice ID Destinatario)
    Codice ID Destinatario


    Gala dinner fee: 90,00 Eur (Saturday, 15th October 2022) 
    Gala Dinner
    Please indicate any food intolerance


    Privacy

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    Total
    € 0.00
    Complete the registration